b'When Can I Join? An eligible annuitant and/or dependent may initiallycoverage through December 31 of that year. CTPF enroll in a CTPF plan once in a lifetime, unless he or sheinsurance coverage becomes effective the following experiences a qualifying event noted below.January 1.Initial Enrollment Period2024 Open EnrollmentYou may initially enroll in CTPF coverage when one of theThe annual Open Enrollment Period is the time when you following events occurs: or a dependent can enroll in a CTPF plan or change plans. Within 30 days after COBRA continuation coverageOpen Enrollment runs October 1 - 31, 2023. Changes madeends,* unless coverage is cancelled due to during Open Enrollment become effective January 1, 2024.non-payment of premium Get started by following these steps:1.Make sure you understand any plan changes.Within 30 days of the effective date of pension/survivor benefits 2. If you are currently enrolled in a CTPF plan and you During the annual Open Enrollment Period want to continue coverage, you do not need to take any (once in a lifetime)action. Your coverage will continue. Within 30 days of first becoming eligible for Medicare 3. I f you or a dependent want to enroll or change plans, you When coverage is cancelled by a former group plan must complete the appropriate enrollment forms. See through no fault of your ownthe How to Enroll section of the comparison charts for *If COBRA coverage ends December 31, 2023, you mayplans not included on the enrollment form.enroll in a CTPF plan during the Open Enrollment Period,4. Return all completed enrollment forms and requiredOctober 1 - 31, 2023. Coverage becomes effectivedocumentation to CTPF. Forms returned to an insuranceJanuary 1, 2024. carrier will not be processed. Special Enrollment Period CTPF encourages members to submit forms by fax or email In addition to the annual Open Enrollment Period, youwhen possible. See the Contact section for email, fax, and have 30 days after a qualifying event to change plans ormailing information. add an eligible dependent. Qualifying events may include: Changes That Impact Enrollmentchange in permanent address that affects theIts important to keep CTPF informed if you have any of theavailability of current coveragefollowing changes which may affect your enrollment status:marriage/civil union or divorce/dissolutionchange of address for you or your dependentsbirth, adoption, or legal guardianship death of a spouse or dependent ermination of a Primary Care Physician fort marriage, civil union, divorce, legal separation,HMO plan enrollees annulmentdependent loss of eligibilitybecoming eligible for MedicarePlease indicate the qualifying event on CTPF Form 350 andchange in Medicare status, including turning age 65,include any supporting documents detailing your reasonbecoming Medicare eligible before age 65, or loss offor loss of coverage.Medicare coverage for any reasonyou have been awarded benefits under Medicaid (it isOne Time Opt-In important that you contact CTPF once you are informedEligible members may re-enroll in athat you have been approved to receive any type ofCTPF health insurance plan one timeMedicaid benefits; a copy of your Medicaid award letterwithout a qualified change in status (marriage, birth, death,should also be sent to CTPF)etc.). Members who want to rejoin a CTPF plan must do soyour health plan or prescription ID card does not reflectduring a CTPF Open Enrollment Period. A member applyingyour current enrollmentto re-enroll must have proof of insurance coverage (medicalyour pension deduction does not match your coverage and prescription drug) as of the beginning of the openor required premiumCTPF 2024 NON-MEDICARE HEALTH INSURANCE HANDBOOK enrollment period (October 1), and maintain CTPF 2024 NON-MEDICARE HEALTH INSURANCE HANDBOOK 7'